DOUGLAS J MOORE (NPI# 1063443265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063443265 |
| Entity Type | Individual |
| Full Name | DOUGLAS J MOORE |
| Credential | CSFA |
| Practice Address |
8450 Northwest Blvd Indianapolis IN 46278-1381 |
| Practice Telephone | 3178022000 |
| Practice Fax Number | 3178022170 |
| Mailing Telephone | 3178022000 |
| Mailing Fax Number | 3178022170 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669710364 | Douglas Brian Moore | Physical Therapist | 18305 Lyles Dr, Hagerstown, MD 21740-9517 | 2013-01-30 |
| 1528206950 | Douglas Robert Moore | Hearing Instrument Specialist | 14840 Military Trl, Delray Beach, FL 33484-8153 | 2009-01-22 |
| 1578621363 | Douglas William Moore | Dentist | 1011 A Ave W, Oskaloosa, IA 52577-0228 | 2006-12-05 |
| 1679574396 | Douglas Loran Moore | Optometrist | 1902 W 19th St, Suite A, Mountain Grove, MO 65711-1287 | 2005-08-03 |
| 1194729053 | Douglas R Moore | Internal Medicine | 25195 Kelly Rd Ste A, Roseville, MI 48066-4909 | 2005-06-09 |
| 1760008460 | Douglas G Moore | Counselor | 1801 Cherry Hill Rd, Baltimore, MD 21230-3503 | 2020-06-19 |
| 1396064804 | Douglas Boylston Moore IIi | Family Medicine | 901 W Greenwood St, Suite 9, Abbeville, SC 29620-5717 | 2010-05-24 |
| 1427280155 | Douglas John Moore | Psychologist | 6611 Rockside Rd, Suite 215, Independence, OH 44131-2365 | 2009-08-13 |
| 1265696876 | Douglas Richard Moore | Internal Medicine | 7710 Mercy Rd Ste 3000, Omaha, NE 68124-2350 | 2008-07-12 |
| 1417121492 | Douglas William Moore | Obstetrics & Gynecology | 1230 E 6th Ave, Suite 2b, Winfield, KS 67156-3143 | 2008-04-21 |
| Street Address |
8450 NORTHWEST BLVD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46278-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053214 | Michele M Spolyar | Internal Medicine | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2005-06-17 |
| 1952928020 | Callie C Mckelvey | Specialist/Technologist, Other | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2020-07-06 |
| 1467088435 | Kimberly Cassetty | Physical Therapist | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2020-03-20 |
| 1548803513 | Arie Lee Lorenz | Physician Assistant | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2019-10-23 |
| 1720634298 | Andrew William Bodrogi | Orthopaedic Surgery | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2019-08-12 |
| 1992271217 | Amanda Marie Ruff | Physician Assistant | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2018-10-15 |
| 1689154320 | Daryl B Dillman | Orthopaedic Surgery | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2018-08-21 |
| 1598245003 | Morgan Scheid Clarkson | Physician Assistant | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2018-08-15 |
| 1154846004 | Chloe L Meiss | Physician Assistant | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2017-08-11 |
| 1215450861 | Julia Marie Williams | Physician Assistant | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2017-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1518411123 | Maricar Maria Veluz | Physical Therapist | 5980 West 71st Street, Suite 102, Indianapolis, IN 46278 | 2016-08-11 |
| 1447514682 | Sean Russell Dillon | Family Medicine | 7439 Woodland Dr Ste 105, Indianapolis, IN 46278 | 2012-07-03 |
| 1154605137 | Lisa Marie Louks | Pharmacist | 6820 Shanghai Circle, Indianapolis, IN 46278 | 2011-10-07 |
| 1750689402 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 5807 W 73rd St, Indianapolis, IN 46278 | 2011-03-04 |
| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1770779001 | Elite Chiropractic & Wellness, Inc | Chiropractor | 5650 West 86th Street, Suite 128, Indianapolis, IN 46278 | 2007-09-20 |
| 1073734737 | Sochiele Atienza | Contractor | 5980 W. 71st Street, Suite 201, Indianapolis, IN 46278 | 2007-05-01 |
| 1417034422 | Julie Daftari | Family Medicine | 7440 Woodland Drive, Indianapolis, IN 46278 | 2006-11-01 |
| 1437146594 | Kci Usa Inc. | Durable Medical Equipment & Medical Supplies | 7015 Corporate Cir, Suite 7015, Indianapolis, IN 46278 | 2005-10-04 |
| Find all providers in zip 46278 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447709118 | Christina L. Hope | Specialist/Technologist, Other | 8141 S Emerson Ave Suite A, Indianapolis, IN 46237-8560 | 2016-09-23 |
| 1790054583 | John F Sanchez | Specialist/Technologist, Other | 6422 Lonestar Dr, Indianapolis, IN 46237-8261 | 2011-12-22 |
| 1477846616 | Gabrielle Elizabeth Hogaboom | Specialist/Technologist, Other | 310 W Michigan St, Apt 238, Indianapolis, IN 46202-3226 | 2011-05-20 |
| 1952928020 | Callie C Mckelvey | Specialist/Technologist, Other | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2020-07-06 |
| 1770102972 | Andrew Scolaro | Specialist/Technologist, Other | 8402 Harcourt Rd Ste 501, Indianapolis, IN 46260-2054 | 2020-04-09 |
| 1275061236 | David Rivera Villegas | Specialist/Technologist, Other | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2017-06-02 |
| 1407384647 | Jared Denver Hix | Specialist/Technologist, Other | 8141 S Emerson Ave, Indianapolis, IN 46118 | 2017-06-01 |
| 1033656988 | Amanda S Langworthy | Specialist/Technologist, Other | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2017-01-30 |
| 1144694910 | Ana Raquel Hinderliter | Specialist/Technologist, Other | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2015-11-17 |
| 1972971760 | Stefanie Jo Hart | Specialist/Technologist, Other | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2015-09-10 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46278 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.